“There was a bucket of water in the hallway which was across two classrooms used by the children.”Texas HHSC inspector, Mar 5, 2024 report. Quoted verbatim.
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Infant · Full-time
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A caregiver caring for a group of children in the outdoor playground did not have the key to the locked exit gate. Note: This was addressed with the caregiver and person in charge. During the inspection a different group of children were observed in the outdoor playground and the caregiver had the key to the gate with her.
State records correction during the inspection; no separate verification date is shown.
Standard 746.4309 · Fenced Outdoor Activity Space -Gates Locked
State severity
Medium High
Corrected at visit
Yes
Correction reported
Dec 30, 2022
Technical assistance
Recorded
Finding source ID
1026438565
Visit source ID
905850636
Children's Products- Annual Certification
Serious
The Children's products certification form used to indicate that the center has reviewed the United States Consumer Product Safety Commission (CPSC) recall list was not current. Note: This was CORRECTED during the inspection as the form was updated and posted.
State records correction during the inspection; no separate verification date is shown.
Standard 746.4135(b) · Children's Products- Annual Certification
State severity
Medium
Corrected at visit
Yes
Correction reported
Dec 30, 2022
Technical assistance
Not recorded
Finding source ID
1026518949
Visit source ID
905850636
Background-check eligibility
Critical
There was no background check available for an employee present at the operation who had direct contact with children in care. Note: The employee left the operation during the inspection.
State verification recorded Dec 30, 2022.
Standard 745.641 · AP Background check results - Must receive notification prior to allowing subject to be present at your operation
State severity
High
Corrected at visit
No
Correction reported
Dec 30, 2022
Technical assistance
Recorded
Finding source ID
1026478460
Visit source ID
905850636
Children's Records - Immunizations
Serious
2 of 4 children's immunization records reviewed were not current.
State verification recorded Jan 13, 2023.
Standard 746.603(a)(4) · Children's Records - Immunizations
State severity
Medium
Corrected at visit
No
Correction reported
Jan 6, 2023
Technical assistance
Recorded
Finding source ID
1026238032
Visit source ID
905850636
Jul 14, 2022Inspection
No findings recorded
May 20, 2022Inspection
1 finding
Safety - Areas Free From Hazards
Serious
Nails were exposed inside a children's play house in the outdoor playground. The sharp point of the nails were along the top area inside the playhouse and posed a safety hazard for children. Note: This was CORRECTED during the insepction as the exposed nails were hammered flat into the wall of the play house.
State records correction during the inspection; no separate verification date is shown.
Standard 746.3701 · Safety - Areas Free From Hazards
State severity
Medium High
Corrected at visit
Yes
Correction reported
May 20, 2022
Technical assistance
Recorded
Finding source ID
1026475255
Visit source ID
905850634
May 6, 2022Self-reported incident
2 findings
Child/Caregiver Ratio - 18 Months Difference in Age
Serious
Based on the information obtained during the investigation, it was determined that there was more than an 18 month difference when three infants were combined with older children. The oldest child in the group was 8 years old and the youngest infant was between 0-11 months of age.
State verification recorded Jul 14, 2022.
Standard 746.1605 · Child/Caregiver Ratio - 18 Months Difference in Age
State severity
Medium High
Corrected at visit
No
Correction reported
Jul 6, 2022
Technical assistance
Recorded
Finding source ID
1026682273
Visit source ID
905942458
Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
Critical
Based on the information obtained during the investigation, it was determined that a caregiver did not demonstrate good judgment when the caregiver picked up a child by the wrists causing the child to sustain an injury.
State verification recorded Jul 14, 2022.
Standard 746.1201(1) · Responsibilities of Employees and Caregivers -Demonstrate Competency, Good Judgment, Self-control
State severity
High
Corrected at visit
No
Correction reported
Jul 1, 2022
Technical assistance
Recorded
Finding source ID
1026680540
Visit source ID
905942458
Dec 10, 2021Inspection
No findings recorded
Nov 8, 2021Inspection
5 findings
Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
Serious
The diaper changing mat in the toddler room was torn.
State verification recorded Nov 9, 2021.
Standard 746.3503(a) · Diaper Changing Equipment - Smooth, Non-absorbent, Easy to Clean Surface
State severity
Medium High
Corrected at visit
No
Correction reported
Nov 9, 2021
Technical assistance
Not recorded
Finding source ID
1026470076
Visit source ID
905850632
Children's Records Maintained
Serious
1 of 4 children's records reviewed was missing the child's emergency contact's address, the child's immunization record, and a statement of the child s special care needs. NOTE: This was CORRECTED during the inspection as the missing information was obtained and placed in the child's file.
State records correction during the inspection; no separate verification date is shown.
Standard 746.603(a) · Children's Records Maintained
State severity
Medium
Corrected at visit
Yes
Correction reported
Nov 8, 2021
Technical assistance
Recorded
Finding source ID
1026510341
Visit source ID
905850632
Adequate Lighting During Naptime
Serious
The lighting in the infant room was not adequate to allow visual supervision of all children in the room. Note: The hallway light was turned on to allow more lighting in the room.
State verification recorded Dec 10, 2021.
Standard 746.2911 · Adequate Lighting During Naptime
State severity
Medium High
Corrected at visit
No
Correction reported
Nov 8, 2021
Technical assistance
Recorded
Finding source ID
1026349929
Visit source ID
905850632
Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
Serious
There were no feeding instructions available for review for 2 infants in care.
State verification recorded Nov 8, 2021.
Standard 746.2421(a) · Written Feeding Instructions - Signed and Dated by Parent or Health-Care Professional
State severity
Medium
Corrected at visit
No
Correction reported
Nov 9, 2021
Technical assistance
Recorded
Finding source ID
1026229415
Visit source ID
905850632
Child/ Caregiver Ratio - 13 or More Children
Serious
Ratios were not met in the infant room when a caregiver was caring for 6 infants during naptime. The specified age of the children in the group was between 12-17 months. According to the ratio chart the maximum number of children a caregiver may supervise when the specified age of the children in the group is 12-17 months is 5. The group was out of ratio by one child.
State verification recorded Dec 10, 2021.
Standard 746.1601 · Child/ Caregiver Ratio - 13 or More Children
State severity
Medium High
Corrected at visit
No
Correction reported
Nov 8, 2021
Technical assistance
Recorded
Finding source ID
1026430128
Visit source ID
905850632
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